Active NPI
Donald Raymond Maestas Jr., L.P.C., L.A.C.
- Professional Counselor
- Centennial, CO
National Provider Identifier
1053442731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-6499
- Practice address
- 7940 S University Blvd Ste 220
Centennial, CO 80122-5104 - Phone
- (303) 550-8382
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-6499 | CO | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 211 | CO |
Addresses
Primary practice location
7940 S University Blvd Ste 220
Centennial, CO 80122-5104
Mailing address
4163 Quitman St
Denver, CO 80212-2127
Phone (303) 550-8382
Other practice location 1
4163 Quitman St
Denver, CO 80212-2127
Phone (303) 550-8382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC-6499 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1053442731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4163 QUITMAN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802122127",
"telephone_number": "303-550-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7940 S UNIVERSITY BLVD STE 220",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801225104",
"telephone_number": "303-550-8382"
}
],
"practiceLocations": [
{
"address_1": "4163 Quitman St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802122127",
"country_code": "US",
"telephone_number": "303-550-8382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAESTAS",
"first_name": "DONALD",
"middle_name": "RAYMOND",
"name_suffix": "Jr.",
"credential": "L.P.C., L.A.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC-6499",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "211",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.